July 3, 2025 · House · RC 190

One Big Beautiful Bill Act (final House vote, July 3 2025)

House Bill, H.R. 1 (final House vote)

What it did

H.R. 1, the One Big Beautiful Bill Act, is the 2025 reconciliation law sponsored by Rep. Jodey Arrington (R-TX). It cuts roughly $1 trillion from Medicaid and the Affordable Care Act marketplaces over ten years through work-reporting requirements, eligibility checks every six months, and limits on the provider taxes states use to fund their share of Medicaid. It cuts SNAP by about $186 billion and shifts part of the cost of benefits onto states. The same bill extends the 2017 tax cuts, whose benefits go largely to the highest earners.

The Congressional Budget Office (CBO) projected about 10 million more people uninsured by 2034 from the health provisions alone.

This is the second and final House vote, taken July 3, 2025, the day before the signing ceremony. The House had passed one version in May; the Senate rewrote it to cut Medicaid even deeper (capping the provider taxes that fund state programs and extending the work-reporting requirement to parents of children aged 14 and older) and sent it back. This vote was on whether to accept the Senate's harsher version. Members who had said in May they would never accept deeper Medicaid cuts voted yes anyway.

A yes vote made the cuts law. A no vote refused the Senate version. The House accepted it 218-214.

At the time of this vote, about 38 million American children were insured through Medicaid and CHIP.

Result: Passed 218-214

At the time of this vote: Congressional Budget Office: 10,000,000+ more people uninsured by 2034 under the law's health provisions; ~38,000,000 US children insured through Medicaid and CHIP at the time of the vote

The humane vote: No (NAY)

Official roll-call record

Members in this record who voted inhumanely (210)

Members in this record who voted humanely (207)